Individual provider Active NPI

Suresh Mukkamala, M.D

  • Hematology & Oncology Physician
  • Tucson, AZ
National Provider Identifier
1770973398
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
63423 Issued in AZ
Practice address
2070 W Rudasill Rd Ste 130
Tucson, AZ 85704-7891
Phone
(520) 420-2520
Fax
(520) 420-2522
NPI assigned
Feb 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 63423 AZ Primary

Addresses

Primary practice location

2070 W Rudasill Rd Ste 130
Tucson, AZ 85704-7891

Mailing address

PO Box 910221
Dallas, TX 75391-0221
Phone (520) 519-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526000829 AZ Practitioner - Hematology/Oncology 6204137953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TmconeGroup PAC ID 9234604877, 60 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

2070 W Rudasill Rd
Suite 130
Tucson, AZ 85704-7891
Phone (520) 420-2520

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63423AZMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Apr 1, 2025 Accepting new patients
Arizona Oncology Associates PC Hematology & Oncology CurrentSince Jul 1, 2021 Accepting new patients

Locations

1315 S La Canada Dr
Green Valley, AZ 85622
Phone (520) 625-6600

603 N Wilmot Rd
Ste 151
Tucson, AZ 85711
Phone (520) 420-2560

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2070 W Rudasill Rd
Ste 130
Tucson, AZ 85704
Phone (520) 420-2520

3476 S Kino Pkwy
Tucson, AZ 85713
Phone (520) 420-2340

2070 W Rudasill Rd
Ste 13
Tucson, AZ 85704

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

1760 E River Rd
Ste 350
Tucson, AZ 85718
Phone (520) 519-7720

Interoperability endpoints

  • Direct secure messaging: suresh.mukkamala@aoa.ikm.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1770973398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753910221",
            "telephone_number": "520-519-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 W RUDASILL RD STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047891",
            "telephone_number": "520-420-2520",
            "fax_number": "520-420-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKKAMALA",
        "first_name": "SURESH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-03",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "63423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.